Материал: Атлас Ханц фениш

Внимание! Если размещение файла нарушает Ваши авторские права, то обязательно сообщите нам

60 Sutures, joints and ligaments

1

 

1

SYNOVIAL JOINTS OF THE SKULL. Articulationes

17

Acromioclavicular ligament. Lig. acromio-

 

 

synoviales cranii. Cf. pp. 56.26, 58.1, 58.2

 

 

claviculare. Strong fibrous band within and

 

 

 

 

 

 

 

 

abovethearticularcapsuleservingtoprotectand

 

2

Temporomandibular joint. Articulatio tem-

 

2

 

hold together the clavicle and acromion. D

 

 

poromandibularis. A B C

 

 

 

 

3

Articular disc. Discus articularis. Biconcave disc

18

Articular disc. Discus articularis. Fibrocar-

 

3

 

 

of fibrous tissue and fibrocartilage positioned

 

tilaginous interarticular disc. D

 

 

 

 

 

 

 

 

betweentheheadofthemandibleandthearticu19

Coracoclavicular ligament. Lig. coracoclavicu-

 

 

 

 

 

 

lar fossa. Since it is connected with the articular

 

lare. Two-part band connecting the coracoid

4

 

 

 

 

 

capsule on all sides, it divides the joint into two

 

process and the clavicle. D

 

 

 

compartments, both of which are functional

20

Trapezoid

ligament. Lig. trapezoideum. The

5

 

 

units of the discocapsular system. C

 

 

 

 

 

portion of the coracoclavicular ligament taking

 

4

Lateral (temporomandibular)

ligament. Lig.

 

an upward and lateral course from the coracoid

 

 

6

 

 

laterale. A strong fibrous band occasionally pre-

 

process to the clavicle. It lies between the conoid

 

 

sent on the lateral surface of the joint. It passes

 

and coraco-acromial ligaments. D

 

 

 

 

 

 

 

obliquely upward and forward from the neck of

21

Conoid ligament. Lig. conoideum. The portion

7

 

 

the mandible. A

 

 

 

 

 

 

 

 

 

of the coraco-clavicular ligament medial to the

 

5

Medial ligament.Lig.mediale.Reinforcementof

 

trapezoid ligament. It arises from the root of the

8

 

 

the medial wall of the capsule. B

 

 

 

coracoid process. D

 

6

Superior synovial membrane. Membrana syn-

22

Sternoclavicular joint. Articulatio sternoclavic-

 

9

 

 

ovialis superior. Synovial lining of the superior

 

ularis. Two-chambered joint between the ster-

 

 

articular cavity. C

 

 

 

num and clavicle. G

 

 

 

 

 

 

 

7

Inferior synovial membrane. Membrana syn-

23

Articular disc. Discus articularis. Interarticular

10

 

 

ovialis inferior. Synovial lining of the inferior ar-

 

disc anchored below to the first rib and above to

 

 

 

ticular cavity. C

 

 

 

 

the clavicle. G

11

 

 

 

 

 

 

8

Sphenomandibular ligament. Lig. spheno-

24

Anterior sternoclavicular ligament. Lig. ster-

 

 

 

mandibulare.Flatligamentontheinneraspectof

 

noclaviculare anterius. Band that reinforces the

 

 

 

 

12

 

 

the mandibular ramus extending from the man-

 

anterior wall of the joint capsule. G

 

 

dibular foramen to the spine of the sphenoid

25 Posterior sternoclavicular ligament. Lig. ster-

 

 

 

 

 

 

bone lateral to the foramen spinosum. B

 

13

 

 

 

 

noclaviculare posterius. Band that reinforces the

9

Stylomandibular ligament. Lig. stylomandibu-

 

 

posterior wall of the joint capsule.

 

 

 

lare. Ligament passing from the anterior surface

26 Costoclavicular ligament. Lig. costoclaviculare.

14

 

 

of the styloid

process to the

angle

of the

 

 

 

Ligamentous union between the first rib and the

 

 

mandible. A B

 

 

 

 

 

10

Pterygospinal ligament. Lig. pterygospinale.

 

clavicle lateral to the sternoclavicular joint. G

15

 

27

Interclavicular ligament. Lig. interclaviculare.

 

 

 

Broadconnectivetissuebandextendingfromthe

 

Ligament passing across the suprasternal notch

 

 

 

upper part of the lateral plate of the pterygoid

 

16

 

 

process to the spine of the sphenoid. B

 

 

and uniting both clavicles. G

 

 

 

28 JOINTS OF THE FREE UPPER LIMB. Articulationes

 

11

Stylohyoid ligament. Lig. stylohyoideum. Liga-

 

 

 

membri superioris liberi.

17

 

 

ment running between the styloid process and

 

 

 

 

 

 

 

 

the lesser horn of the hyoid bone. Vestige of the

29

Shoulder

(glenohumeral) joint. Articulatio

 

 

 

 

 

 

second pharyngeal arch. B

 

 

 

humeri (glenohumeralis). D E F

18

 

 

 

 

 

12

JOINTS OF THE SHOULDER GIRDLE. Articula-

30

Glenoid lip. Labrum glenoidale. The fibrocar-

 

 

 

tiones cinguli pectoralis. D E F G

 

 

 

tilaginous margin of the bony glenoid cavity. E

19

13

Lig.

cora-

 

Coracoacromial

ligament.

31

Coracohumeral ligament. Lig. coracohumerale.

 

 

 

coacromiale. Strong band extending from the

 

Thickened portion of the capsule passing from

20

 

 

coracoid process to the acromion. It forms the

 

therootof thecoracoidprocessto theupper mar-

 

 

roof of the shoulder joint. D

 

 

 

gin of the greater and lesser tubercles. D E

 

 

 

 

 

 

 

14

Superior transverse scapular ligament. Lig.

32

Glenohumeral ligaments. Ligg. glenohumer-

21

 

 

 

transversum scapulae superius. Ligament lying

 

alia.Threethickenedbands(superior,middle,in-

 

 

 

medial to the coracoid process and bridging the

 

ferior) within the anterior wall of the capsule. D E

22

 

 

scapular notch. D

 

 

 

 

 

15 Inferior transverse scapular ligament. [Lig.

23transversum scapulae inferius]. Weak fibrous band passing from the root of the spine of the scapula to the posterior margin of the glenoid

24cavity. F

16 Acromioclavicular joint. Articulatio acromio-

25clavicularis. Joint between the acromion and the clavicle. D

Sutures, joints and ligaments 61

 

3

6

5

7

 

 

 

 

4

1

10

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

9

 

 

 

 

 

9

 

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

Temporomandibular joint,

 

 

C

Temporomandibular joint,

 

lateral viewl

 

 

 

 

 

 

Temporomandibular34.24

sagittal section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

19

 

 

B

 

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

 

joint, medial view

 

 

31

32

34.10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31

 

 

 

 

 

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32

32

 

14

 

30

 

 

 

 

 

 

 

 

 

32

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

Lateral ligaments of shoulder, anterior view

 

E

Shoulder joint, disarticulated,

 

 

 

 

 

 

lateral view

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

 

 

24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

 

 

 

 

 

 

 

 

F

Shoulder joint, posterior view

G

Sternoclavicular joints

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

a

a

62 Sutures, joints and ligaments

1

 

1

Elbow joint. Articulatio cubiti (cubitalis). Artic-

18

Dorsal radiocarpal ligament. Lig. radiocarpale

 

 

ular connection between the upper arm and

 

dorsale. Ligament on the dorsum of the wrist ex-

 

 

 

forearm. A

 

tendingfromtheradiustothetriquetrumbone.C

 

 

 

 

2

 

 

 

2

Humeroulnar joint. Articulatio humero-ul- 19

Palmar radiocarpal ligament. Lig. radiocarpale

 

 

 

naris. Joint between the humerus and ulna.

 

palmare. Ligament on the flexor side radiating

 

 

 

 

3

3

Humeroradial joint. Articulatio humero-

 

from the radius to the lunate and capitate bones.

 

 

 

radialis. Joint between the humerus and radius.

 

D

 

 

 

 

4

4

Proximal radioulnar joint. Articulatio radio-ul-

20

Palmar ulnocarpal ligament. Lig. ulnocarpale

 

 

 

naris proximalis. Joint formed by the articular

 

palmare. Ligament extending from the flexor

 

 

 

circumference of the radius and the radial notch

 

sideoftheheadoftheulnarchieflytothecapitate

5

 

 

 

 

 

of the ulna.

 

bone. It often unites with fibers of the palmar

 

 

5 Ulnar collateral ligament. Lig. collaterale ul-

 

radiocarpal ligament. D

 

 

 

 

 

 

 

6

 

 

nare. Collateral ligament on the medial part of

21

Radiate carpal ligament. Lig. carpi radiatum.

 

 

 

the arm between the ulna and humerus. A

 

Groups of fibers radiating to both sides of the

 

 

 

 

7

6

Radial collateral ligament. Lig. collaterale

 

wrist mainly from the head of the capitate bone.

 

D

 

 

 

radiale. Ligament which spreads from the lateral

 

 

 

 

epicondyle to the annular ligament of the radius

22

Ulnar carpal collateral ligament. Lig. col-

8

 

 

 

 

and the ulna. A

 

 

 

laterale carpi ulnare. Collateral ligament extend-

 

 

 

 

 

 

7

Annular ligament of the radius. Lig. anulare

 

ing from the styloid process of the ulna to the

9

 

 

radii. Circular band embracing a part of the artic-

 

triquetrum and pisiform bones. C D

 

 

 

ular circumference of the radius. It is attached to

23

Radial carpal collateral ligament. Lig. col-

 

 

 

10

 

 

the anterior and posterior margins of the radial

 

laterale carpi radiale. External collateral liga-

 

 

notch of the ulna. A

 

 

8

Quadrate ligament. Lig. quadratum. Thin band

 

ment passing from the styloid process of the

 

 

 

 

radius to the scaphoid bone. C D

11

 

 

 

of fibers passing from the distal margin of the

24 Dorsal intercarpal ligaments. Ligg. intercar-

 

 

 

radial notch of the ulna to the neck of the radius.

 

 

 

 

 

 

 

palia dorsalia. Ligamentous bands extending be-

12

9

Radioulnar syndesmosis (joint). Syndesmosis

 

 

tween the proximal and distal rows of carpal

 

 

 

[articulatio] radioulnaris. Fibrous joint between

 

bones on the dorsum of the wrist. C

 

 

 

 

13

 

 

the radius and ulna.

 

 

 

25

Palmar intercarpal ligaments. Ligg. intercar-

10

Interosseous membrane of forearm. Mem-

 

 

 

brana interossea antebrachii. Membranous

 

palia palmaria. Groups of ligaments between the

14

 

 

 

carpal bones on the palmar aspect below the

 

 

sheet which spreads between the interosseous

 

 

 

 

radiate carpal ligament. D

 

 

 

margins of the radius and ulna. A

 

 

 

 

 

 

1511 Oblique cord. Chorda obliqua. Ligamentous band extending obliquely downward from the ulnar tuberosity to the radius. It runs in an op-

16posite direction to most fibers of the interosseous membrane. A

1712 Distal radioulnar joint. Articulatio radioulnaris distalis. B

1813 Articular disc. Discus articularis. Interarticular discbetweentheulnaandcarpus.Itisattachedat the radius and styloid process of the ulna and, as

19an intra-articular ligament, it connects the radius and ulna. B

2014 Recessus sacciformis. Proximal extension of the flaccid articular capsule. B

2115 Radiocarpal joint. Articulatio radiocarpalis. Proximal wrist joint between the proximal row of carpal bones and the radius including the ar-

22ticular disc. B

15 a Carpal joints. Articulationes carpi.

2316 Intercarpal joints. Articulationes intercarpales. Joints between the carpal bones permitting only

24slight movement. B

17 Midcarpal joint. Articulatio mediocarpalis. The

25distalwristjointbetweentheproximalanddistal rows of carpal bones. B

Sutures, joints and ligaments 63

1

2

3

4

5

5

6

 

7

6

 

88.12

16

7

 

16

 

11

10

A Elbow joint, anterior view

24

23

18

17

13

15

12

14

BCarpal joints in horizontal section

21

25

22

23

20

19

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

C

Carpal ligaments, dorsal view

D

Carpal ligaments, palmar view

 

24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

a

 

 

 

 

 

 

 

a

64 Sutures, joints and ligaments

1

 

1

JOINTS OF THE HAND. Articulationes manus. A B

17

Collateral ligaments. Ligg. collateralia. Col-

 

 

C

 

 

lateral ligaments of the metacarpophalangeal

 

 

2 Interosseous intercarpal ligaments. Ligg. in-

 

joints. They slacken during extension of the fin-

 

 

 

2

 

 

gers and become tense when making a closed

 

 

tercarpalia interossea. Ligaments penetrating

 

 

 

 

directly through the joint clefts between the car-

 

first. B

 

 

 

18

Palmar ligaments. Ligg. palmaria. Fibers in the

3

 

 

pal bones within a row. A

 

3

Pisotriquetral joint. Articulatio ossis pisiformis.

 

floor of the tendon sheaths extending from the

 

 

 

 

root of the collateral ligaments to the palmar

4

 

 

Articulation between the pisiform and

 

 

 

 

side. They should not be confused with the annu-

 

 

triquetrum bones. A

 

 

 

 

4 Pisohamate ligament. Lig. pisohamatum. Me-

 

lar parts of the fibrous sheaths. See page 92.28. B

 

 

 

5

 

19

Deep transverse metacarpal ligament. Lig.

 

 

dial continuation of the tendon of the flexor carpi

 

 

 

ulnaris to the hook of the hamate bone. B

 

 

metacarpale transversum profundum. Trans-

 

 

 

 

 

verselyorientedfibroustractsonthepalmar side

6

 

 

 

 

5

Pisometacarpal ligament. Lig. pisometacar-

 

 

of the heads of the metacarpal bones at the level

 

 

 

pale. Lateral continuation of the tendon of the

 

of the joint spaces. They hold the distal parts of

 

 

 

 

7

 

 

flexor carpi ulnaris to the base of the fifth meta-

 

the metacarpus together. B

 

 

carpal. B

 

20

Interphalangeal joints. Articulationes inter-

 

 

 

 

 

6

Carpal canal or tunnel. Canalis carpi (carpalis).

8

 

phalangeales manus. Middle and distal joints be-

 

 

Palmar canal located between the tubercles of

 

tween the phalanges. B

 

 

 

the scaphoid and trapezium on the one side and

21 Collateral ligaments of the interphalangeal

9

 

 

thepisiformboneandthehookofthehamuluson

 

 

 

joints. Ligg. collateralia. B

 

 

the other side. It is bridged over by the flexor reti-

 

 

 

 

naculum (93.26). B

 

22

Palmar ligaments. Ligg. palmaria. Fibers which

10

 

 

 

7

Metacarpal articulations. Articulationes

car-

 

pass into the floor of the tendon sheaths above

 

 

the interphalangeal joints. B

 

 

 

pometacarpales. Slightly movable joints

be-

 

 

 

 

 

 

11tween the distal carpal bones and the metacarpals. A

128 Dorsal carpometacarpal ligaments. Ligg. carpometacarpalia dorsalia. Rigid ligaments on the dorsum of the hand between the distal carpal

13bones and the metacarpal bones. C

9Palmar carpometacarpal ligaments. Ligg. car-

14pometacarpalia palmaria. Ligaments on the palmar side of the hand between the distal carpal

15bones and the metacarpal bones. B

10Carpometacarpal joint of the thumb. Articulatio carpometacarpalis pollicis. Saddle joint be-

16 tweenthefirstmetacarpalandthetrapezium.AB

11 Intermetacarpal joints. Articulationes inter-

17metacarpales. Joints between the bases of the metacarpal bones. A

1812 Dorsal metacarpal ligaments. Ligg. metacarpalia dorsalia. Ligaments between the proximal

19ends of the metacarpals on the extensor side. C

13Palmar metacarpal ligaments. Ligg. metacarpalia palmaria. Ligaments between the bases of

20

 

the metacarpal bones on the palmar side. B

 

 

 

 

 

14

Interosseous metacarpal ligaments.

Ligg.

21

 

metacarpalia interossea. Short, tense ligaments

 

 

at the bases of the metacarpal bones. They lie in

22

 

the intracapsular spaces between the dorsal and

 

 

palmar metacarpal ligaments. A

 

 

 

15

Interosseous spaces of metacarpus. Spatia in-

23

 

 

terossea metacarpi. Spaces between the meta-

 

 

carpal bones. A C

 

 

 

24

16

 

Articulationes

Metacarpophalangeal

joints.

 

 

metacarpophalangeales.

Joints

between

the

25

 

heads of the metacarpal bones and the bases of

 

 

the proximal phalanges. B